Provider Demographics
NPI:1437487592
Name:TUFTS, SANDRA ELAINE (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:ELAINE
Last Name:TUFTS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DRAGONFLY DR
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-1051
Mailing Address - Country:US
Mailing Address - Phone:207-439-1969
Mailing Address - Fax:
Practice Address - Street 1:1 DRAGONFLY DR
Practice Address - Street 2:
Practice Address - City:ELIOT
Practice Address - State:ME
Practice Address - Zip Code:03903-1051
Practice Address - Country:US
Practice Address - Phone:207-439-1969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222782104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker